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. 2022 Jan;41(1):22-30.
doi: 10.23876/j.krcp.21.236. Epub 2022 Jan 13.

Global Kidney Health Atlas: a spotlight on the Asia-Pacific sector

Joyita Bharati  1 , Vivekanand Jha  2   3   4
Affiliations

Global Kidney Health Atlas: a spotlight on the Asia-Pacific sector

Joyita Bharati et al. Kidney Res Clin Pract. 2022 Jan.

Abstract

Chronic kidney disease (CKD) is a unique public health problem in terms of high expenses required for its management and its increasing worldwide incidence. Understanding the existing structure of CKD treatment and its epidemiology is pivotal for equitable kidney care globally. The Global Kidney Health Atlas (GKHA) was launched by the International Society of Nephrology (ISN) in 2017 as a part of its "Bridging the Gaps" strategy with a vision to understand the global kidney care capacity. Two rounds of GKHA surveys were conducted and published in 2017 and 2019, respectively. The GKHA surveys showed significant variability in kidney care among global regions. Asia is the largest of all continents and distinct for its heterogeneity. The Asia-Pacific sector comprises four main regional constructs of the ISN; North and East Asia, Oceania and South East Asia, South Asia, and the Middle East. Kidney care capacity varies among these regions in terms of government spending, epidemiology of kidney diseases, and workforce availability. In this narrative review, we highlight the differences in kidney care delivery among the regions of the Asia-Pacific sector based on information from GKHA and emphasize the priority areas on which stakeholders should concentrate their efforts.

Keywords: Asia; Chronic kidney disease; Global Kidney Health Atlas; Global goals.

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Conflict of interest statement

Conflicts of interest

All authors have no conflicts of interest to declare.

Figures

Figure 1.
Figure 1.. Global Kidney Health Atlas survey assessment of kidney care capacity of coun-tries/jurisdictions across the globe is based on the World Health Organization’s six dimen-sions of health system performance evaluation.
CKD, chronic kidney disease; ESKD, end-stage kidney disease; KRT, kidney replacement therapy.
Figure 2.
Figure 2.. International Society of Nephrology (ISN) construct of Asia comprises four regions predom-inantly; North and East Asia, Oceania and South East Asia, South Asia, and the Middle East.
Figure 3.
Figure 3.. Availability of various modalities of kidney replacement therapy for patients with kidney failure across the Asia-Pacific sector.
PD, peritoneal dialysis; HD, hemodialysis; OSEA, Oceania and South East Asia; NA, not available.
See this image and copyright information in PMC

References

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